Pseudo-infarction ECG from SAH
An ECG demonstrating a pseudo inferior STEMI due to SAH has been added to the Investigation of suspected subarachnoid haemorrhage page.
Neurology
AXR of fractured VP shunt catheter
The Cerebral ventricular shunts page has been updated with an abdominal Xray image demonstrating a fractured VP shunt catheter coiled in the abdomen.
Skull Xray of disconnected VP shunt
The Cerebral ventricular shunts page has been updated with a skull Xray image demonstrating a disconnected VP shunt.
WCC and neutrophil/lymphocyte ratio in SAH
The Investigation of suspected subarachnoid haemorrhage page has been updated with information about the WCC and neutrophil/lymphocyte ratio in SAH.
Vertebral infections
A new segment on Vertebral infections has been created in the Low back pain page. As a result, the segments on Transverse myelitis, Epidural abscess and Spinal tumours have moved from the Non traumatic spinal cord disorders page.
Drug induced amnesia
A small segment on drug induced amnesia has been added to the Cerebral lobe function page.
Myasthenia gravis
The Myasthenia gravis page has been extensively revised and updated.
US assisted LP
The Lumbar puncture page has been updated with some additional information about the role of US in performing LP in infants.
Hysterical coma
The Coma and altered mental state page has been updated with additional information about the assessment and management of patients with functional coma.
Sagittal sinus thrombosis CTV image
A CTV image of a Sagittal sinus thrombosis has been added to the Cerebral venous sinus thrombosis page.
Lumbar epidural abscess image
An MRI image of a lumbar epidural abscess has been added to the Non traumatic spinal cord disorders page.
GA vs sedation for interventional stroke management
The Stroke management page has been updated to indicate that the association between GA and poorer outcome for interventional stroke treatment is no longer thought to exist. Schonenberger, S, Uhlmann, L, Hacke, W, et al. Effect of Conscious Sedation vs General Anesthesia on Early Neurological Improvement Among Patients With Ischemic Stroke Undergoing Endovascular Thrombectomy: A … Read more
Stroke mimics
The Stroke page has been updated with a revision of the segment on stroke mimics.
Seizures following spontaneous ICH
The Spontaneous intracerebral haemorrhage page has been updated with a segment on seizures following ICH. The page name has also been changed to Spontaneous intracerebral haemorrhage from its previous title of Intracerebral haemorrhage to differentiate it from traumatic ICH. Please be aware that links to this page from our quizzes may be broken as a … Read more
Time to clot retrieval for stroke
The Stroke management page has been updated following the new evidence suggesting that clot retrieval (in appropriately selected cases) may improve outcome if it can be commenced within 7 hours 18 minutes. Saver, JL, Goyal, M, van der Lugt, A, et al. Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis. JAMA … Read more
Geographical distribution of Polio
The Polio page has been updated with current information about the 3 countries that still have wild type Polio.
Direction fixed nystagmus
Details about direction fixed and direction changing nystagmus have been included on the Cerebellar function page.
Vertigo
The Vertigo page has been updated following the recent publication of the following article. Edlow, JA, Newman-Toker, D. Using the Physical Examination to Diagnose Patients with Acute Dizziness and Vertigo. Journal of Emergency Medicine. 2016;50(4):617-28.
Primary prevention of stroke
The Cerebrovascular disease page has been updated with additional information about the primary prevention of stroke. Steiger, N, Cifu, AS. Primary prevention of stroke. JAMA 2016;316(6):658-59.
sBP target for ICH is < 180mmHg
The Stroke management page has been revised to indicate that the target sBP value for the management of primary ICH is < 180mmHg and that reductions to 110-140mmHg appear to confer no additional benefit. Qureshi, AI, Palesch, YY, Barsan, WG, et al. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. N Engl J Med 2016.